PURLs: Tamsulosin for patients with ureteral stones?

Summary of "PURLs: Tamsulosin for patients with ureteral stones?"

A 54-year-old man presents to the emergency department with acute onset left flank pain that radiates to the groin. A computed tomography scan of the abdomen/pelvis without contrast reveals a 7-mm distal ureteral stone. He is deemed appropriate for outpatient management. In addition to pain medications, should you prescribe tamsulosin?

Silodosin, a recently introduced selective α-blocker, has a much higher selectivity for the α-1A receptor. The efficacy and safety of silodosin compared to tamsulosin in medical expulsive therapy (M...

To assess the effects of alpha-blockers compared to standard therapy or placebo for ureteral stones 1 cm and less confirmed by imaging in adult patients presenting with symptoms of ureteral stone dise...

Current therapeutic options for ureteral stones include active intervention as well as
conservative "watch and wait" approaches. Endoscopic treatment of ureteral stones has a high
success ...

Medical and Biotech [MESH] Definitions

Ureteral Calculi

Stones in the URETER that are formed in the KIDNEY. They are rarely more than 5 mm in diameter for larger renal stones cannot enter ureters. They are often lodged at the ureteral narrowing and can cause excruciating renal colic.

Anuria

Absence of urine formation. It is usually associated with complete bilateral ureteral (URETER) obstruction, complete lower urinary tract obstruction, or unilateral ureteral obstruction when a solitary kidney is present.

Sphincterotomy, Endoscopic

Incision of Oddi's sphincter or Vater's ampulla performed by inserting a sphincterotome through an endoscope (DUODENOSCOPE) often following retrograde cholangiography (CHOLANGIOPANCREATOGRAPHY, ENDOSCOPIC RETROGRADE). Endoscopic treatment by sphincterotomy is the preferred method of treatment for patients with retained or recurrent bile duct stones post-cholecystectomy, and for poor-surgical-risk patients that have the gallbladder still present.

Urinary Bladder Calculi

Stones in the URINARY BLADDER; also known as vesical calculi, bladder stones, or cystoliths.

Polyomavirus Infections

Infections with POLYOMAVIRUS, which are often cultured from the urine of kidney transplant patients. Excretion of BK VIRUS is associated with ureteral strictures and CYSTITIS, and that of JC VIRUS with progressive multifocal leukoencephalopathy (LEUKOENCEPHALOPATHY, PROGRESSIVE MULTIFOCAL).

Relevant Topics

AnesthesiologyAn anesthesiologist (US English) or anaesthetist (British English) is a physician trained in anesthesia and perioperative medicine.
Anesthesiologists are physicians who provide medical care to patients in a wide variety of (usually acute) situations. ...

Pain DisorderPain is a feeling (sharp or dull) triggered in the nervous system which can be transient or constant.
Pain can be specific to one area of the body eg back, abdomen or chest or more general all over the body eg muscles ache from the flu.
Without pain ...